Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT 3596 | FL |
NPI | 1033499900 |
---|---|
Provider Name | Mrs. Susan Minturn Hunter |
First Address | Weston, FL 33326-2818 |
Second Address | Hollywood, FL 33021-1549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2011 |
Last Update Date | 24/08/2011 |